46 The Ottawa Naturalist [June 



Home Treatment. Can treatment of tuberculosis be carried out 

 at home ? Yes,inmany cases.if the patient be intelhgent and wilHng 

 to submit to regulations and friends are willing and able to provide 

 the means. For the patient's sake, leaving out the public, it 

 is apparent, however, that consumptives must not continue to 

 work indoors. It may be hard to arrange, but a life is at stake. 

 If then the patient remains at home, she may find light employ- 

 ment in rooms, bright and fresh, and hope for time and care to 

 assist in recovery. But if, as is commonly the case, the disease 

 is not diagnozed till fever is present, it is evident that active 

 measures are demanded. At once then the patient may in a 

 balcony on the south side of any house live in the pure condensed 

 oxygen of our winter days, and exposed to the sunshine and 

 wrapped in flannels and furs, breath such an amount of oxygen 

 that reconstruction of tissue by increased food may be fairly 

 expected to follow. If men engaged indoors become infected, 

 then a similar rest cure till the fever is reduced and strength 

 increased must be instituted, after which we may find it possible 

 to engage in light work in the outer air, and recover health. 



Sleeping in tents in the open is equally effective, and in 

 doubled-walled tents I have had hundreds of persons, smallpox 

 patients, live comfortably at 20j^degrees below zero. 



Treatm,ent in Sanatoria. It is evident, however, that for 

 poor persons, removal from home surroundings for a 

 time would be better, and hence within recent years 

 sanatoria, or health Homes, have been instituted in differ- 

 ent places, where under wise medical supervision patients 

 are instructed in every thing likely to promote health. First, 

 they are removed from the danger of infecting those at home; 

 the varieties of type in the disease may be studied, the diges- 

 tion corrected, the amount and kind of food regulated, and 

 education in the many details of daily habits carried on. 



Clim.atic Treatment But after what has been said 

 regarding differences of climate, it is only natural to sup- 

 pose that certain places where the air is pure and cold, 

 exposed to no great changes as regards moisture and tem- 

 perature, would seem to provide conditions especially 

 favorable to cure. We have in Canada three distinct types of 

 climates, which, for reasons already stated, appear to me to 

 possess superior advantages. 



They are, first, the great Laurentide areas of Quebec and 

 Ontario, where in winter, the climate if cold is equable, the 

 atrnosphere, owing to the forests, free from great changes, 

 while the air, ozonized by the evergreen forests, supplies for 



